OrganizationActive
Athletico Ltd
NPI 1508469685 · Clinic/Center · Union Grove, WI
Provider details
- NPI number
- 1508469685
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Juana Granados, Credentialing Manager
Practice location
1201 Main St
Union Grove, WI 53182-1372
Phone: (262) 878-9602
Fax: (262) 878-9609
Mailing address
600 Oakmont Ln Ste 600c
Westmont, IL 60559-5548
Registry dates
- Enumerated
- 2020-11-19
- Last updated
- 2020-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.